Active NPI
Erica Danielle Hetrick, APRN
- Neonatal Nurse Practitioner
- Orlando, FL
National Provider Identifier
1467725523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- ARNP9227417
- Practice address
- 601 E Rollins Street
Orlando, FL 32803-1468 - Phone
- (607) 303-2528
- Fax
- (407) 895-8279
- NPI assigned
- Feb 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | ARNP9227417 | FL | Primary |
Addresses
Primary practice location
601 E Rollins Street
Orlando, FL 32803-1468
Mailing address
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y09YX | Other | FL | BLUE CROSS BLUE SHIELD |
| 004641100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9227417 | FL | MD | Neonatal Nurse Practitioner |
Interoperability endpoints
- ehetrick127998@adventhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1467725523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-303-2528",
"fax_number": "407-303-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS STREET",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031468",
"telephone_number": "607-303-2528",
"fax_number": "407-895-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETRICK",
"first_name": "ERICA",
"middle_name": "DANIELLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-20",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "ARNP9227417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y09YX",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004641100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.